DR. ROBERT HARRISON WILSON MD
NPI 1407858186
Family Medicine in University Place, WA

Active since August 12, 2005
4401 BRIDGEPORT WAY W, SUITE 100, UNIVERSITY PLACE, WA 98466(253) 564-4157(253) 564-4813 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Harrison Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT HARRISON WILSON MD (NPI 1407858186) is an individual family medicine provider in University Place, Washington, licensed in Washington (MD00014627) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1407858186
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT HARRISON WILSONCredential: MD
Location Address4401 BRIDGEPORT WAY W, SUITE 100University Place, WA 98466-4201
Mailing Address4401 Bridgeport Way W, Suite 100University Place, WA 98466-4201 · (253) 564-4157 · Fax (253) 564-4813
Fax(253) 564-4813
Sole ProprietorYes
Enumeration DateAugust 12, 2005
Last NPPES UpdateApril 24, 2014
NPI 1407858186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00014627
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4401 BRIDGEPORT WAY W, University Place, WA 98466

Other Identifiers 3

Medicaid1214600WA
Medicare UPINA08873
Medicare ID-Type UnspecifiedAB10084

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W, ATTN CREDENTIALING
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Family Medicine
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Nurse Practitioner (Family)
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
General Practice
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Specialist
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1407858186. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Robert Wilson located?

Robert Wilson practices at 4401 Bridgeport Way W Suite 100, University Place, WA 98466. The listed phone number is (253) 564-4157.

What is Robert Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.